Individual provider Active NPI

Kevin Paul O'Flaherty, PHD

  • Audiologist
  • New York, NY
National Provider Identifier
1285622423
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0002641 Issued in NY
Practice address
34 E 67TH St
Suite 4F
New York, NY 10021-6119
Phone
(212) 628-2710
Fax
(212) 628-3580
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0002641 NY Primary

Addresses

Primary practice location

34 E 67TH St
Suite 4F
New York, NY 10021-6119

Mailing address

34 E 67TH St
Suite 4F
New York, NY 10021-6119
Phone (212) 628-2710

Other identifiers 14

IdentifierTypeStateIssuer
133691938OtherUNITED HEALTHCARE
OK0264OtherATLANTIS POS
0264OtherHIP
MT000120OtherSELECT PRO
12033804OtherMULTIPLAN #P
4216513OtherAETNA USHC
7992734002OtherCIGNA
N5509OtherOXFORD
133691938002OtherHEALTHFIRST
206742OtherPHS
2C6742OtherGOAVARAN PHS
0096283OtherGHI
133691938OtherPROCARE
M00461OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0002641NYMDAudiologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1285622423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 E 67TH ST",
            "address_2": "SUITE 4F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216119",
            "telephone_number": "212-628-2710",
            "fax_number": "212-628-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 E 67TH ST",
            "address_2": "SUITE 4F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216119",
            "telephone_number": "212-628-2710",
            "fax_number": "212-628-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'FLAHERTY",
        "first_name": "KEVIN",
        "middle_name": "PAUL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "0002641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "133691938",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS POS",
            "identifier": "OK0264",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "0264",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT PRO",
            "identifier": "MT000120",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN #P",
            "identifier": "12033804",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC",
            "identifier": "4216513",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7992734002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "N5509",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "133691938002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "206742",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOAVARAN PHS",
            "identifier": "2C6742",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0096283",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROCARE",
            "identifier": "133691938",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M00461",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.